| NPI | 1043580210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 022382-01) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006546) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2023-12-01 |